Individual provider Active NPI

Roxanna Rasekhi, D.O.

  • Interventional Pain Medicine Physician
  • Wellington, FL
National Provider Identifier
1124414875
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS15797 Issued in FL
Practice address
2585 S State Road 7 Ste 110
Wellington, FL 33414-9438
Phone
(561) 795-8655
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS15797 FL Primary

Addresses

Primary practice location

2585 S State Road 7 Ste 110
Wellington, FL 33414-9438

Mailing address

2585 S State Road 7 Ste 110
Wellington, FL 33414-9438
Phone (561) 795-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328003037 FL Practitioner - Pain ManagementPractitioner - Interventional Pain Management 6709126741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Care of South Florida LLC CurrentSince Mar 6, 2019 Accepting new patients
Comprehensive Pain Care of S FL PastSince Mar 6, 2019 Accepting new patients

Locations

2585 S State Road 7
Ste 110
West Palm Beach, FL 33414
Phone (561) 795-8655

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1124414875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 S STATE ROAD 7 STE 110",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149438",
            "telephone_number": "561-795-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S STATE ROAD 7 STE 110",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149438",
            "telephone_number": "561-795-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASEKHI",
        "first_name": "ROXANNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS15797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.